• Medicaid Senior Researcher

    Abt Global Inc. (Cambridge, MA)
    …and meaningful work? Now's your chance. **The Opportunity** Abt Global seeks an experienced Medicaid researcher ( Senior Associate) to play a leadership role ... on CMS-funded projects (including associated teams and budgets) to research Medicaid program and policy refinements, evaluate...and to work effectively in a team environment. + Senior Associate Level: Master's degree + 13 years of… more
    Abt Global Inc. (04/05/24)
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  • Principal Researcher , Health

    American Institutes for Research (MA)
    **Overview** Join AIR as a **Principal Researcher ** with ourHealth (https://www.air.org/our-work/health) team. AIR's Health Division specializes in research , ... federal agencies, including but not limited to the Centers for Medicare and Medicaid Services (CMS). Candidates hired for the position may work remotely within the… more
    American Institutes for Research (04/19/24)
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  • Financial Accounting & Reporting Senior

    Fallon Health (Worcester, MA)
    …long term fiscal viability of its organization. The role requires the Senior to research , understand, interpret and operationalize accounting concepts (revenue ... be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in… more
    Fallon Health (04/20/24)
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  • Senior Medical Value Liaison, Neuroscience

    Bristol Myers Squibb (Boston, MA)
    …love of challenge._ Reporting into the Medical Value Liaison Field Director, the Senior Medical Value Liaison (MVL)/Executive MVL is a field-based role focused on ... decision makers as they relate to medical/clinical and health economic and outcome research (HEOR) data with payers, policy makers, and other decision makers and… more
    Bristol Myers Squibb (04/10/24)
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  • Senior Problem, Incident and Event…

    Humana (Boston, MA)
    …a part of our caring community and help us put health first** The Senior Problem, Incident and Event Management Engineer drives technical support teams to Root Cause ... of service disruption or outages to key technology platforms/applications. The Senior Problem, Incident and Event Management Engineer work assignments involve… more
    Humana (04/30/24)
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  • Senior Technology Leadership Professional

    Humana (Boston, MA)
    …part of our caring community and help us put health first** The Senior Technology Leadership Professional for our SRE (Site Reliability Engineering) Reporting Team ... is responsible for all aspects of research , reporting and approving data that will go outside...is critical to be successful in this role. The Senior Technology Leadership Professional works directly with the Legal,… more
    Humana (04/27/24)
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  • Aging & Disability Senior Consultant

    Public Consulting Group (Boston, MA)
    …HCBS waivers such as 1915(c), 1915(i), 1915(j), and 1915(k), along with Medicaid State Plan benefits, PACE, SNFs, and ICF-IID. Knowledge must include federal ... + Experience partnering with the Centers for Medicare and Medicaid Services (CMS) for the approval of Medicaid...to analyze and interpret financial data. + Ability to research , analyze and interpret policy, legal briefs, and regulations.… more
    Public Consulting Group (02/28/24)
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  • Compliance Program Manager III, Precertification…

    Point32Health (Canton, MA)
    …key departmental functions related to the compliance programs for Medicaid products. Major responsibilities include compliance program development, implementation ... administration of activities, projects and personnel necessary to ensure compliance with Medicaid laws and regulations governing federal and state contracts for … more
    Point32Health (03/29/24)
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  • Manager, PACE Operations Support

    Fallon Health (Worcester, MA)
    …to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE- in the region. **Brief summary of purpose:** The ... Manager works closely with their counterpart to assist the Senior Director, PACE Operations to manage the program level operational and regulatory functions related… more
    Fallon Health (04/24/24)
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  • Director, Privacy (Remote)

    Commonwealth Care Alliance (Boston, MA)
    …to guard data integrity, confidentiality, and availability + Coordinates with senior management, operational managers, the Chief Information Security Officer, IT ... security and privacy practices + Provides concise and timely summaries to senior management of complex and detailed regulatory publications and prepares operational… more
    Commonwealth Care Alliance (04/04/24)
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  • Director of Infection Prevention & Control

    Tufts Medicine (Boston, MA)
    …as an expert consultant, influence leader and advisor to medical staff, senior leadership, and medical center personnel to solve infection control related problems ... role model and mentor who demonstrates knowledge in project management and Epidemiologic research . In this role the Director will provide leadership and guidance in… more
    Tufts Medicine (04/22/24)
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  • CMS 5 Star Program Manager - Remote

    Fallon Health (Worcester, MA)
    …In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and ... Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit fallonhealth.org. **Brief Summary of Purpose:**… more
    Fallon Health (03/21/24)
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  • Sr. SAS Programmer (Rsdc)

    Point32Health (Boston, MA)
    …Institute is currently seeking a highly motivated programmer/analyst to join the Research Support Data Center (RSDC) within the Department of Population Medicine ... Population Medicine is the home of several large, complex multi-institutional research initiatives focused on using electronic health and administrative claims data… more
    Point32Health (02/06/24)
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  • Sr. Business Analyst- Healthcare Operations…

    Fallon Health (Worcester, MA)
    …be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in ... of purpose:** Principal responsibility of the Operations Support Service Analyst IV ( Senior Business Analyst) is to collaborate with business areas to design,… more
    Fallon Health (04/14/24)
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  • Corporate Counsel, US Market Access Legal

    Sanofi Group (Cambridge, MA)
    …leadership meetings and providing pragmatic, solutions-oriented, proactive counseling to senior leadership in the development and execution of commercial strategies ... discount and rebate agreements, distribution agreements, innovative/value-based agreements, market research agreements, vendor agreements, and service agreements. + Review… more
    Sanofi Group (03/25/24)
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  • Business Intelligence Associate Director

    Humana (Boston, MA)
    …well as the maintenance of current programs. + Leads a teams of 7 Senior Business Intelligence Engineers + Utilizes complex SQL, Azure Synapse Analytics (ASA), SAS, ... of all value-based programs into new markets and business areas + Manages research and reporting of key performance metrics, providing an understanding of how the… more
    Humana (04/25/24)
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  • Chief Quality Officer

    State of Massachusetts (Boston, MA)
    …Registered Nurse. The CQO is accountable to lead, support and guide the Senior Leadership team in matters related to regulatory requirements, quality, and patient ... The Joint Commission on Accreditation of Healthcare Organizations (TJC), Centers for Medicaid and Medicare Services (CMS), Department of Public Health (DPH), and… more
    State of Massachusetts (04/04/24)
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  • Vice President of Product, Government Programs

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …healthcare? Bring your true colors to blue. The Role Reporting to Senior Vice-President of Government Programs, the VP Product is responsible for developing ... an integrated Medicare marketing strategy through collaboration with Marketing, Market Research , Sales, Operations, and Compliance + Oversee Medicare Market project… more
    Blue Cross Blue Shield of Massachusetts (04/17/24)
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  • Infection Control Preventionist

    Beth Israel Lahey Health (Burlington, MA)
    …data and statistical analysis to appropriate departments and committees, eg senior leadership, appropriate managers, Infection Prevention and Control Committee, and ... requirements of mandatory reporting to the state and Center for Medicare and Medicaid Services (CMS) through the National Health and Safety Network (NHSN); -Ensures… more
    Beth Israel Lahey Health (04/14/24)
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